Demoralization and depression in Chinese cancer patients

Support Care Cancer. 2021 Nov;29(11):6211-6216. doi: 10.1007/s00520-021-06195-9. Epub 2021 Apr 8.

Abstract

Objective: Demoralization and depression are common in cancer patients and closely related to suicide. But the association and difference between them are not clear. The aim of this study is to investigate demoralization and depression in Chinese cancer patients.

Methods: This study is a cross-sectional study. Two hundred ninety-six cancer patients completed the questionnaire. First is using the DS-II to evaluate demoralization in advanced cancer patients and using the PHQ-9 to evaluate their depression. Then determine the association between demoralization and depression by Pearson rank correlation test. Finally, an ANOVA was conducted using DS-II as the categorical variable and PHQ-9 as the continuous variable and using PHQ-9 as the categorical variable and DS-II as the continuous variable.

Results: There is a positive association between demoralization and depression. A special case that patients with high demoralization but low depression was discovered, which accounted for a large proportion.

Conclusion: Demoralization and depression are two different psychological states, which require medical staff to identify and take corresponding intervention measures in time. Patients with high demoralization but low depression require further attention.

Keywords: Cancer; Demoralization; Depression.

MeSH terms

  • China / epidemiology
  • Cross-Sectional Studies
  • Demoralization*
  • Depression / epidemiology
  • Depression / etiology
  • Humans
  • Neoplasms* / complications
  • Stress, Psychological